Thyroid

Question 1

grave’s - triad

Answer 1

goitre
eye signs
thyrotoxicosis

Question 2

grave’s - treatment

Answer 2

carbimazole low dose
treat + block
surgery
radioiodine

Question 3

hypothyroidism - presentation

Answer 3

deep, hoarse voice
goitre - hashimoto’s
peaches + cream, puffy face, periorbital oedema
dry, cold, scaly skin + dry, coarse hair/loss + eyebrow
slow pulse + bicep jerk relaxation
myxoedema - backs of hands

Question 4

subtotal thyroidectomy - complications

Answer 4

2 acute:
bleeding
thyroid crisis - fast AF, hyperthermia

2 damage to local:
hypoPTH - hypocalcaemia
recurrent laryngeal nerve damage

2 common:
30% late hypothyroidism
15% recurrent hyperthyroidism